Electroencephalographic evoked pain response is suppressed by spinal cord stimulation in complex regional pain syndrome: a case report

Hylands-White, N. and Duarte, R.V. and Beeson, P. and Mayhew, S.D. and Raphael, J.H. (2015) Electroencephalographic evoked pain response is suppressed by spinal cord stimulation in complex regional pain syndrome: a case report. Journal of Clinical Monitoring and Computing. ISSN 13871307 (ISSN)

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Abstract

Pain is a subjective response that limits assessment. The purpose of this case report was to explore how the objectivity of the electroencephalographic response to thermal stimuli would be affected by concurrent spinal cord stimulation. A patient had been implanted with a spinal cord stimulator for the management of complex regional pain syndrome of both hands for 8 years. Following ethical approval and written informed consent we induced thermal stimuli using the Medoc PATHWAY Pain & Sensory Evaluation System on the right hand of the patient with the spinal cord stimulator switched off and with the spinal cord stimulator switched on. The patient reported a clinically significant reduction in thermal induced pain using the numerical rating scale (71.4 % reduction) with spinal cord stimulator switched on. Analysis of electroencephalogram recordings indicated the occurrence of contact heat evoked potentials (N2-P2) with spinal cord stimulator off, but not with spinal cord stimulator on. This case report suggests that thermal pain can be reduced in complex regional pain syndrome patients with the use of spinal cord stimulation and offers objective validation of the reported outcomes with this treatment. © 2015 Springer Science+Business Media New York

Item Type:	Article
Identification Number:	https://doi.org/10.1007/s10877-015-9781-9
Dates:	Date Event 25 September 2015 Published Online
Uncontrolled Keywords:	Complex regional pain syndrome, Contact heat evoked potentials, Electroencephalography (EEG), Spinal cord stimulation, Electroencephalography, Electrophysiology, Patient treatment, Case reports, Complex regional pain syndromes, Numerical rating scale, Pain response, Spinal cord stimulation, Spinal cord stimulators, Thermal pain, Thermal stimuli, Health
Subjects:	CAH02 - subjects allied to medicine > CAH02-05 - medical sciences > CAH02-05-04 - anatomy, physiology and pathology
Divisions:	Faculty of Health, Education and Life Sciences > Centre for Social Care, Health and Related Research (C-SHARR) Faculty of Health, Education and Life Sciences > School of Health Sciences
Depositing User:	Users 18 not found.
Date Deposited:	03 Jan 2017 13:50
Last Modified:	03 Mar 2022 17:15
URI:	https://www.open-access.bcu.ac.uk/id/eprint/582

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